Frequently Asked Questions About Christian Counseling

Get answers about online Christian counseling with Jane Perkins, including insurance, cost, appointments, biblical counseling, telehealth, session length, and what to expect.

GETTING STARTED

Do You Offer Free Consultations?

Yes. I offer a free 20-minute consultation so we can briefly discuss what brings you to counseling, what you hope to work on, and whether we might be a good fit. It also gives you an opportunity to ask questions about my approach before deciding whether to schedule your first counseling session.

Free 20-minute Consultation

Go to Jane’s Calendar to set up a time to chat.

How do I set up an appointment?

Start by scheduling a free 20-minute consultation to determine whether we are a good fit. If you plan to self-pay, you can schedule your counseling appointment directly after the consultation.

If you would like to use insurance, Headway verifies coverage and benefits before scheduling.

In-Network Benefits Check

HEADWAY     

Out-of-Network Benefits Check

MENTAYA

Self-pay counseling is also available for $150 per 50-minute session.

 

Who Do You Work With?

I work with adults 18 and older who are looking for professional counseling grounded in biblical truth. Many of my clients struggle with anxiety, fear, worry, overthinking, people-pleasing, compulsive behaviors, OCD, intrusive thoughts, grief, relationship difficulties, or feeling spiritually stuck. You do not need to have everything figured out before reaching out. We can use your free consultation to talk about what you are experiencing and determine whether I am the right counselor for you.

Do I have to be a Christian?

No. I work with adults from different backgrounds, but it is important to know that I am a Christian counselor and my approach is grounded in a biblical worldview. Scripture, prayer, and conversations about faith are naturally incorporated into counseling when appropriate. If you are specifically looking for counseling that keeps Christian faith central rather than treating it as separate from your mental and emotional health, you will likely feel very comfortable with my approach.

 

SESSIONS & APPROACH

What Happens During a Counseling Session?

Counseling sessions give you a safe place to talk honestly about what you are experiencing and begin to understand what may be keeping you stuck. Together, we will explore your thoughts, emotions, behaviors, relationships, and spiritual concerns while using professional counseling strategies and biblical truth to help you identify practical steps toward change.

How Long Are Counseling Sessions?

Standard counseling sessions are 50 minutes.

 

Will We Use Scripture and Prayer?

Yes. Scripture is an important part of my counseling approach, and we will often look at what God’s Word says about your experience. Prayer may also be incorporated into sessions as we seek God’s wisdom, truth, and direction throughout the counseling process.

Will I have homework between sessions?

Often, yes. Counseling is only one part of the change process. Depending on what we are working on, I may give you practical exercises, worksheets, Scripture readings, prayer exercises, or specific skills to practice between sessions so you can begin applying what we discuss to everyday life.

How is your approach different from traditional counseling?

I use professional counseling approaches to help you understand patterns in your thoughts, emotions, behaviors, and relationships, but I do not separate that work from your Christian faith. Scripture provides the foundation for understanding truth, identity, and spiritual growth, while counseling strategies help you recognize patterns, develop practical skills, and apply what you are learning to everyday life.

Is online counseling effective?

Yes. Online counseling can be just as effective as in-person counseling for many concerns. You receive the same focused, professional support through secure video sessions while having the convenience and privacy of meeting from your own home.

Location & Availability

Where Do You Provide Counseling?

I provide online counseling for adults who are physically located in Illinois or Missouri during their session. All appointments are held through secure video, allowing you to meet with me from the privacy and convenience of your home. Links will be provided at the time of securing an appointment, and reminders with the links will be sent to you through email and text

What Are Your Hours?

I’m available Monday through Thursday:

Monday: 11:00 am – 5:00 pm
Tuesday: 2:00 pm – 7:30 pm
Wednesday: 2:00 pm – 7:30 pm
Thursday: 7:30 am – 2:00 pm

I’m also available by appointment if you’d like to meet outside of these times.

 

COMMON COUNSELING CONCERNS

What Is Christian Counseling?

Christian counseling approaches emotional, relational, and mental health struggles through the truth of Scripture while also using appropriate clinical counseling skills. In my practice, that means we talk openly about God. We use Scripture. We pray. We look at what you believe, how those beliefs affect your emotions and responses, and whether they line up with what God says is true.

I counsel with an open Bible because I believe God has something to say about how we understand ourselves, our struggles, our relationships, and the way we live.

What If I Feel Far From God?

Feeling far from God doesn’t mean God has moved away from you. Our emotions are real, but they don’t always tell us the truth. Scripture repeatedly reminds us that God is near to His children, even when we cannot feel His presence.

This is something I talk about often in counseling. Instead of only asking, “Why can’t I feel God?” we begin looking at WHO God is, WHERE God is in the middle of your struggle, and WHO you are in Christ. Sometimes anxiety, grief, fear, disappointment, or exhaustion has affected how you are seeing God.

We don’t ignore those feelings. We bring them before God, examine what they are telling you, and then come back to what Scripture says is true.

Do You Provide Christian Counseling for Anxiety?

Yes. Anxiety is one of my primary areas of counseling. I work with adults struggling with worry, fear, overthinking, panic, people-pleasing, and the exhausting need to keep everything under control.

We will look at what is happening in your thoughts and body, but we will also go deeper. What are you afraid of? What are you believing? What are you trying to control? And where is God in the middle of it? My goal is to help you understand the anxiety cycle and learn how to respond to fear from what is true rather than from what you feel in the moment.

Do You Provide Christian Counseling for Grief?

Yes. Grief has been a significant part of my counseling work. I work with people grieving the death of someone they love as well as other painful losses and life changes.

I don’t believe grief needs to be rushed, hidden, or cleaned up so you look like you’re doing okay. Scripture gives us room to lament, cry, question, remember, and bring our pain honestly before God. Counseling gives you a place to process what you have lost while learning how to keep living faithfully in a life that now looks different.

Do You Work With Intrusive Thoughts?

Yes. I work with people who experience unwanted intrusive thoughts, including frightening, disturbing, sexual, violent, or religious thoughts. Having an unwanted thought does not mean you agree with it, want it, or that it defines who you are.

Trying desperately to get rid of the thought, prove it isn’t true, or find absolute reassurance can keep the cycle going. We work on understanding what is happening, reducing compulsive responses, tolerating uncertainty when appropriate, and learning to respond from truth rather than fear.

What Is Religious OCD or Scrupulosity?

Religious OCD, often called scrupulosity, is a form of OCD where obsessive fears and compulsive behaviors become focused on faith, morality, sin, salvation, or your relationship with God. You might repeatedly question whether you sinned, whether God is angry with you, whether you prayed correctly, whether you truly believe, or even whether you are saved.

Part of our work is learning to recognize the difference between an OCD demand for certainty and what Scripture actually says about God, faith, grace, and your relationship with Him.

Do You Use ERP and Address Reassurance Seeking for OCD?

Yes. I use principles from Exposure and Response Prevention (ERP) when working with OCD, including religious OCD and scrupulosity. ERP helps you face the anxiety and uncertainty that OCD wants you to escape while learning not to respond with the compulsions that keep the cycle going.

Reassurance seeking is one of those compulsions. You may repeatedly ask, “Did I sin?” “Am I saved?” “Was that thought really me?” or “Is God angry with me?” The answer may bring relief for a moment, but soon the doubt returns and you need reassurance again.

In counseling, I don’t want to become another source of reassurance for your OCD. Instead, we work on recognizing the cycle, allowing uncertainty without immediately trying to resolve it, and learning to respond from faith and biblical truth rather than fear.

Cost & Insurance

How Much Does Counseling Cost?

A standard 50-minute counseling session is $150. Extended 80-minute sessions are available for $225 when additional time is needed. If you are using insurance, your cost will depend on your individual plan and benefits, so I recommend verifying your coverage before scheduling.

Do You Accept Insurance?

Yes. Insurance coverage is handled through Headway. If you would like to use insurance, you can check your in-network benefits through Headway before scheduling.

If I am out of network with your insurance plan, you can use Mentaya to check whether your plan includes out-of-network benefits and what reimbursement may be available.

Self-pay counseling is also available for $150 per 50-minute session.

In-Network Benefits Check

HEADWAY     

Out-of-Network Benefits Check

MENTAYA

 

Can I Use HSA or FSA Funds?

Yes. You can use HSA or FSA funds to pay for counseling sessions. These funds can be used for both standard and extended counseling sessions.

What is your cancellation policy?

I understand that plans can change unexpectedly. However, to manage our schedule effectively and accommodate all clients fairly, we request that you notify us at least 24 hours in advance if you need to cancel or reschedule your appointment.

Please be aware that cancellations made less than 24 hours before your scheduled session will incur a $40 fee. This fee compensates for the time set aside specifically for you.

Counseling vs. Coaching

Do you offer Christian coaching?

Yes. I offer Christian coaching through Anchored Woman for women seeking biblical guidance and practical support who do not need clinical counseling. Coaching is also available regardless of where you live, making it an option for those who want to work with me but live in states where I am not licensed to provide counseling.

What Is the Difference Between Christian Counseling and Coaching?

Christian counseling addresses mental health concerns and is provided under my professional counseling license to clients located in Illinois and Missouri. Christian coaching is not therapy. It focuses on personal and spiritual growth, practical goals, biblical guidance, and moving forward in a specific area of life. Coaching through Anchored Woman is available to women regardless of where you live.